Edward Ilya Anssari Moin, MD is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Edward Ilya Anssari Moin, MD NPI is 1396304408. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10 UNION SQUARE EAST
SUITE 5B
NEW YORK, NY
ZIP 10003
Phone: (212) 844-8775
Fax: (212) 844-6976
The enumeration date for this NPI number is 6/12/2019 and was last updated on 6/12/2019.